Cambridge, MA / Bothell, WA, US.
Other locations: Colorado Springs, CO; Orlando, FL; Pittsburgh, PA; Plymouth, MN; San Diego, CA; Washington, DC, US.
The Monitoring and Connected Care HEMAR leader will provide vision and strategic leadership to optimize market access and reimbursement of products/solutions from development throughout the product lifecycle. This Leader will partner to develop, communicate, and execute on the global clinical/economic evidence and payment pathway requirements for gaining public and private payer coverage and sustainable payments for business unit products.
The leader will have oversight for multiple businesses but with a specific focus on the Ambulatory Monitoring and Diagnostics (AM&D) segment in the US and contracting, payment, and policy associated with the operation of Philip’s Independent Diagnostic Testing Facility (IDTF). The leader will have a dedicated staff to assist.
Your role:
- Ensure HEMAR priorities are clearly defined, aligned with, and communicated to the Business Unit and HEMAR partners. Employ a consultative approach to determine the product’s needs and priorities and monitor pertinent market activity.
- Manage aspects of IDTF for Ambulatory Monitoring and Diagnostics (AM&D) business with specific oversight for payer contracting, medical policy engagement and coding/billing advising. Develop and execute strategies to secure appropriate reimbursement for IDTF.
- Monitor reimbursement developments relative to coverage and payment for business products/solutions. Provide Business Leadership with regular updates and strategies to address changes in the global payment systems.
- Working with the Director, US Policy, HEOR Team, and HEMAR International Team, provide proactive, actionable advice and counsel to the business on HEMAR considerations in the areas of global (including US) health economics, health policy, and reimbursement as a valued business partner.
- Partner with the business and engage the HEMAR Global Market Access Team, Health Economics and Outcomes Research (HEOR) Team, and Clinical Affairs leaders to influence the short and long-term clinical and marketing plans to ensure the evidence needs of economic stakeholders are met for Philips products/solutions.
- Lead the cross-functional development, planning and execution of a US and Global Reimbursement Strategic Plan for commercialized therapies based on the requirements of technology assessment organizations and payers, including Medicare, NICE, commercial payers, etc. Advocate/contract with commercial payers/Medicare for coverage/payment establishment, maintenance, and expansion.
- Actively participate throughout the product development process to champion HEMAR considerations. Develop reimbursement assessments/strategies for emerging therapies ensuring appropriate reimbursement and health economics analyses and perspectives are integrated into business plans, clinical studies, and decision making. Plan/support product launches (for reimbursement considerations) globally by working with geography-specific market access colleagues. This will include charting the current state and determining “what has to be true” to ensure successful market access at launch.
- Work with Strategy and Business Development teams to evaluate the reimbursement environment and future expectations for business development opportunities and proposed future strategies.
- Collaborate with Sales and Marketing teams to craft, refine and ensure accurate and compliant economic messages for use with customers and development of economic models and champion the development and maintenance of necessary and appropriate reimbursement tools to be used by reimbursement colleagues and sales partners. (coding sheets, training, economic models, evidence dossiers, value summaries, etc.)
- Collaborate frequently with cross-functional partners (Clinical, Marketing, Sales, Regulatory, Legal, R&D, Corporate and Global reimbursement counterparts) to drive reimbursement and coverage initiatives and advocate for policies that ensure the attainment of market access business objectives.
- Work with Clinical Affairs and R&D partners to ensure clinical study protocols collect and appropriate outcome measures to support therapy adoption, coverage expansion and that evidence plans are proactively developed. Also work to ensure HEOR plans support market access (models, value dossiers, claims analysis, etc.)
You’re the right fit if:
- Minimum of 15 years of device/reimbursement/health economics experience with 10+ years of managerial experience
- Experience with payer contracting in the US market
- Experience advocating with US payer medical directors for coverage considerations
- Requires strong business acumen, and the ability to connect key business issues and competitive/profit drivers to public policy matters and obtain value for/advance the business interests and reputation of Philips
- Demonstrated stakeholder management with influencers from industry and government
- Strong interpersonal skills and demonstrated ability to establish solid working relationships across various internal and external stakeholders
- Expert knowledge of the healthcare industry and policy
- Solid knowledge of the types of products, services, solutions, businesses and strategies Philips offers or pursues
- Working knowledge of the reimbursement and payment systems affecting Philips Healthcare products and services with the understanding and ability to navigate these systems on behalf of Philips
- Excellent leadership and communications skill especially to executive stakeholders
- As an expert in the field, uses professional concepts in developing resolutions to critical issues and broad design matters. Significant barriers to entry (e.g., top management review, approval) exist at this level
- Interacts internally and externally with executive-level management, requiring negotiation of extremely critical matters. Influences policymaking
- Experience working on complex healthcare policy issues, requiring external advocacy strategies
- You must be able to successfully perform the following minimum Physical, Cognitive and Environmental job requirements with or without accommodation for this position.
About Philips
We are a health technology company. We built our entire company around the belief that every human matters, and we won’t stop until everybody everywhere has access to the quality healthcare that we all deserve. Do the work of your life to help improve the lives of others.
- Learn more about our business.
- Discover our rich and exciting history.
- Learn more about our purpose.
- Read more about our employee benefits.
If you’re interested in this role and have many, but not all, of the experiences needed, we encourage you to apply. You may still be the right candidate for this or other opportunities at Philips.
Philips Transparency Details
The pay range for this position is $200,000 to $300,000, annually. The actual base pay offered may vary depending on multiple factors including, job-related knowledge/skills, experience, business needs, geographical location, and internal equity.
In addition, other compensation, such as an annual incentive bonus, sales commission or long-term incentives may be offered. Employees are eligible to participate in our comprehensive Philips Total Rewards benefits program, which includes a generous PTO, 401k (up to 7% match), HSA (with company contribution), stock purchase plan, education reimbursement and much more. Details about our benefits can be found here.
At Philips, it is not typical for an individual to be hired at or near the top end of the range for their role and compensation decisions are dependent upon the facts and circumstances of each case.
Additional Information
US work authorization is a precondition of employment. The company will not consider candidates who require sponsorship for a work-authorized visa, now or in the future.
Philips is an Equal Employment and Opportunity Employer/Disabled/Veteran and maintains a drug-free workplace.
This job is posted by Philips Healthcare.
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